A study of management of intracapsular fracture neck femur using bipolar prosthesis

Introduction: Problems of the hip joint, whether due to trauma or arthritis need surgical skill and judgement often requiring multiple surgical procedures and prolonged rehabilitation. Bipolar hip replacement offers a durable and versatile solution for many problems of the hip in which replacement of the head and neck of the femur in a hemiarthroplasty offers advantages of rapid return to function with a pain free hip. Replacements cannot last forever and this becomes a concern particularly in relatively younger individuals. Aim of the study: To evaluate the efficacy of Biploar hip prosthesis, in management of intracapsular fracture neck femur in physiologically younger patients where replacement of the head and neck of the femur offers the advantage of rapid return of joint function. Materials and Methods: This was a prospective study done in the department of Orthopedics, Government General Hospital, Kurnool, where 30 patients with intracapsular fracture neck femur underwent bipolar prosthesis procedure. Post-operative clinical and radiological follow up was done at 6 weeks, 3 months, 6 months and 1 year. The outcome was graded as poor, fair, good and excellent. Complications were looked for. Results: Good to excellent results were seen in 96% of the patients. Infection was seen in 4% of cases. None of the cases had dislocation or loosening of prosthesis. No mortality or major complications, revision surgery or mortality were seen. Conclusion: Bipolar Hip Prosthesis offers excellent, painless mobility and ease of rehabilitation and return to function and is especially useful in younger patients. The surgery is relatively easy to perform and it has low rate of complications.